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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROSAURA LICEA, MD

Active

ROSAURA LICEA, MD is a Family Medicine healthcare provider located in CICERO, Illinois. NPI 1548299225 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CICERO, IL

Registration Details

NPI Number
1548299225
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2006 (19.934207140951 yrs)
Last Updated
Jul 16, 2009
License
036-091269 (IL)

Practice Information

Address
5712 W 35TH ST
CICERO, IL, 608044222
Browse IL providers · Browse ZIP 60804
Phone
7086565485
Fax
7086565657
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CICERO, IL

Name Credential NPI
ISRAEL DISAMALA LABAO M.D. 1487655726
ROSELIA HERRERA VILLASENOR MD 1124066162
AMADO RUEDA MD 1750317061
RICARDO C DIZON M.D. L.T.D. 1639193998
MR. ARTURO I LEMA MD 1295893766
MRS. SILVIA JUAREZ MD 1356493878
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.